The Breathless Patient · COPD, Heart Failure, PE, or Sepsis?
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The Breathless Patient · COPD, Heart Failure, PE, or Sepsis?
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Show notes: Breathlessness is a syndrome, not a diagnosis. Avoid anchoring on COPD and learn the safe four-way thinking: COPD, HF, PE, sepsis.
Episode 4 — The Breathless Patient · COPD, Heart Failure, PE, or Sepsis?
Breathlessness is dangerous not because it’s rare — but because it’s common. And common presentations are where clinicians stop thinking too early.
In this episode, we tackle the “COPD trap”: when a history of COPD closes your differential too soon. Using a night-shift scenario, we reframe breathlessness as a syndrome, not a diagnosis, and build a practical four-way decision approach: COPD, heart failure, PE, or sepsis.
You’ll learn:
Why COPD is a risk factor, not an automatic answer
What matters most early: physiology, chest findings, and trajectory
The traps: wheeze = COPD, sats = safety, normal CXR = reassurance
How seniors use discriminating questions to keep differentials open
When to escalate before certainty based on physiology
Educational content only — not a substitute for local guidelines or senior clinical advice. For structured breathlessness frameworks, red flags, and case walkthroughs, visit the AcuteCast app.
https://acute-cast--jgoncalo7.replit.app